Category Archives: Health

How we grow

By Zubeida Mustafa

IS the world really waking up to the population crisis that received a lot of international publicity at the London Summit on Family Planning last week? One wishes it were. But all the noise seems to be emanating from the developed states which have managed their own demographic affairs very well while generously supporting the Third World countries’ population programmes. Their success is to be attributed mainly to their strategy of working honestly within a holistic socioeconomic framework.

Unfortunately, developing countries, which are the biggest contributors to the galloping global population growth and that have restricted resources, have shown a poor record. According to the UN, the current world population stands at 7.6 billion and is expected to be 8.6bn by 2030 and 9.8bn in 2050. The world has roughly 83 million new mouths to feed every year. Continue reading How we grow

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No child’s play

By Zubeida Mustafa

FOUZIA is 13 and is employed by a working mother of two children. Fouzia is the victim of oppression on three counts. She performs the duties of an adult woman, which would be classified as child labour. She is not attending school as is compulsory for children from five to 16 years of age under Article 25-A of the Constitution.

Above all, she will soon be another example of early marriage as she is said to be engaged. The wedding will take place as soon as she has earned enough for her dowry. In the process, Fouzia has been robbed of her childhood and an education.

These deprivations do not bother this young girl’s family. Their sociocultural norms and, according to many, poverty have landed her in this ugly situation. According to Unesco, from 1987 to 2005, early marriage was the fate of nearly 32 per cent of all children in Pakistan. Continue reading No child’s play

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Candle of hope

Dr Ruth Pfau: Photo by Dr Salamat Kamal

By Zubeida Mustafa

WHEN you start to despair — and we have too many occasions for that — go get the light of hope from someone who holds the candle. So I went to see Dr Ruth Pfau, who has been an inspiration for many, especially the most stigmatised of segments — her leprosy patients.

Even in her poor state of health in her hospital bed, Dr Pfau continues to be the candle of hope she has epitomised. She was hospitalised recently but is now in her own apartment in her neat and prim clinic. Of course, she is happy to be back home, she told me.

As I held her hand I could feel the “enrichment flow from her into me” to use her words. That is the role she has been playing since she arrived as a young woman of 31 in Karachi from Germany in 1960 and made Pakistan her home. It was chance that took her to the Lepers’ Colony behind the commercial offices on McLeod Road (now I.I. Chundrigar Road). The squalor and subhuman conditions did not deter her. Within three years, she had set up a proper leprosy clinic, now an eight-storey hospital on Shahrah-i-Liaquat, and the hub of 157 leprosy centres all over the country. There followed an arduous journey of over five decades devoted to “serving the unserved”. At no stage has her commitment slackened. Continue reading Candle of hope

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Where the ill lies

By Zubeida Mustafa

“THERE has been an enormous overproduction of uneducated and ill-trained medical practitioners … due to the existence of a very large number of commercial (medical) schools … which are profitable business.”

Does the above refer to Pakistan? It doesn’t but it could as it is an apt description of the conditions prevailing in the country. The words above are from Abraham Flexner’s 1910 report on the state of medical education in North America. It led to the closing down of 124 of the 155 medical schools operating in the US and Canada at the time. Continue reading Where the ill lies

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The magic crop


By Zubeida Mustafa

THE existential threat that Pakistan faces today is the insidious devastation of our human resources. It is a silent crisis, yet to be recognised, as an entire generation of children faces a slow death by malnutrition.

Denied basic nutrients — especially protein — essential for their physical and cognitive growth in the critical first 1,000 days of life, the majority of children never enjoy the same health and mental growth as that of a normal well-fed child. Paediatricians tell us that the damage done during this window of life — from conception till the second birthday — cannot be reversed. We have been warned, but nothing stirs us out of our complacency. Continue reading The magic crop

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Physician let a colleague treat you

By Zeba Hisam

TODAY I am writing this while waiting for my turn for physiotherapy for my right hand carpal tunnel syndrome. I had been having severe pain that became worst on twisting movements and pulling or bearing weight on this hand. First I took a painkiller regularly without any benefit then kept on complaining about pain and was scolded by my mother and elder sister to consult a doctor and not to treat myself. I got all my lab investigations done which came out to be normal ( CP, ESR, CRP, uric acid, RA factor and T3, T4, TSH and the x-ray of my wrist). I was convinced that it was carpal tunnel syndrome as I previously got a persistent parasthesia on my right hand so I got an appointment with my teacher, Professor of neurology, Dr. Abdullah, who endorsed my diagnosis and sent me to this amazing physiotherapy Center named “Neurology & Falij care Center”! He advised me to get my physiotherapy done by the specific lady physiotherapist. So it’s my third session today and I do the exercises advised by her regularly at home multiple times. I hope and pray that improvement will come soon. Continue reading Physician let a colleague treat you

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Right vs wrong

IN a society as morally perverse and corrupt as ours, does a centre of ethics have any relevance? A cynic’s answer would be a resounding ‘none whatsoever’. The idealist/reformer would say, ‘all the more’. That is a dilemma that faces all activists in this country seeking to light the spark of change.

In this context, the SIUT’s Centre for Biomedical Ethics and Culture (CBEC) faces a daunting challenge. It has been struggling for the last 13 years to introduce an ethical perspective not just in healthcare but also in the non-medical sector. Its endeavours became meaningful and received international recognition when last week WHO declared the CBEC a Collaborating Centre for Bioethics — one of the eight to receive that prestigious status worldwide. Continue reading Right vs wrong

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Blame rests on ….

By Zubeida Mustafa

IN August, Pakistan will be celebrating the 70th anniversary of its independence. This has understandably spawned a spate of soul searching. It was in abundance at the Karachi Literature Festival. The session titled “Pakistan: a fragile state or resilient nation” focused entirely on the state and didn’t address the issue of resilience at all. The state was held responsible for all the evils that have befallen us.

Unsurprisingly, the speakers concentrated on identifying the villain of the piece that was said to be the ‘state’ — an abstract term. As the discussion proceeded, the state became the “invisible state” and then the “deep state”. The audience clearly understood that these terms referred to the army which has played a central role in determining Pakistan’s destiny. Continue reading Blame rests on ….

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The secret of success

By Zubeida Mustafa

Why is the SIUT a success story when other health institutions in the public sector in Pakistan have failed? This question is frequently asked by people who are wonderstruck by the SIUT’s performance. Few can believe that this immaculate  hospital that sprawls before them is in the public sector. It has taken it 40 years to reach its present greatness. And it is still growing.

The only feature that betrays its ownership is the over-crowding you see there. Being in the public sector, this tertiary healthcare institution attracts all and sundry. Moreover it is a hospital that is affordable and actually works, where people are treated and recover from their illness.  Continue reading The secret of success

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Message of hope?

 

By Zubeida Mustafa

IN these times of despair, even the dead can give us hope and inspiration. That is the powerful message that emerged from the Orangi Pilot Project-Research and Training Institute’s forum on Jan 22. It was organised to commemorate the birthday of Perween Rahman who was shot fatally in March 2013.

Why was Perween killed? It might sound bizarre but the fact is that there are vested interests in our society who feel threatened by people who work for the poor. That was confirmed by SP Akhtar Farooqi who said on the occasion that the murder was not motivated by personal enmity but by economic factors. Continue reading Message of hope?

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